Individual
SENTA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LLP
Contact information
Practice address
2222 N GRAND RIVER AVE, SUITE A, OKEMOS, MI 48864
(734) 274-9571
Mailing address
2222 N GRAND RIVER AVE, SUITE A, OKEMOS, MI 48864
(734) 274-9571
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361003880
MI
103TH0100X
Health Service Psychologist
6301007406
MI
Other
Enumeration date
01/04/2022
Last updated
05/16/2022
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